| NPI | 1134818115 | 
|---|---|
| Other Name | JEFF SOUNALATH | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87077) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15969) | 
| Enumeration Date | 2023-05-04 | 
| Last Update Date | 2023-05-05 |